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How to use or fill out CFWB-015 Referral to Employer for Employee Income Information
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the employee’s name and the employer's name in the designated fields under 'CONSENT TO RELEASE INFORMATION'.
- Have the employee sign and date the form to authorize the release of their employment/income information.
- Next, the employee’s supervisor or payroll department should complete their section. Fill in the period of employment, including start and end dates, and return-to-work date if applicable.
- Indicate the type of work and regular employment schedule by filling in hours for each day of the week.
- Provide salary/wages details, including how often income is paid (weekly, bi-weekly, etc.) and hourly wage if applicable.
- Complete the gross payroll information for the past twelve weeks by listing hours worked, salary/wage, overtime, other earnings, and tips for each week.
- Finally, ensure that an authorized employer representative signs and dates the form to affirm that all provided information is accurate.
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